| Dr Amaresh Vydyanathan, MD, MS | |
|
1015 S Mercer Ave, Bloomington, IL 61701-7107 | |
| (309) 662-4321 | |
| (309) 661-4532 |
| Full Name | Dr Amaresh Vydyanathan |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 21 Years |
| Location | 1015 S Mercer Ave, Bloomington, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336319094 | NPI | - | NPPES |
| 036124700 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Montefiore Medical Center | Bronx, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Montefiore Medical Center | 3779496021 | 2350 |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Entity Name | Relief Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801541149 PECOS PAC ID: 7113314592 Enrollment ID: O20230425001295 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amaresh Vydyanathan, MD, MS 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 662-4321 | Dr Amaresh Vydyanathan, MD, MS 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 662-4321 |
Kristi Chioni, Pain Medicine Medicare: Medicare Enrolled Practice Location: 2203 Eastland Dr, Bloomington, IL 61704 Phone: 800-444-6110 | |
Dr. Ramsin Benyamin, MD, DABPM, FIPP Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 S Mercer Ave, Bloomington, IL 61701 Phone: 309-662-4321 Fax: 309-661-4532 | |
Dr. Craig W Carmichael, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 General Electric Rd Ste 4, Bloomington, IL 61704 Phone: 309-319-2341 | |
Dr. Ji P Lee, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1015 S Mercer Ave, Bloomington, IL 61701 Phone: 309-662-0088 Fax: 309-662-0089 | |
Dr. Ricardo Vallejo, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 S Mercer Ave, Bloomington, IL 61701 Phone: 309-662-4321 Fax: 309-661-4532 |